| NPI | 1891540613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WILLIAM CLEMSON Owner/ Physical Therapist 423-218-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |